Efficacy of Intermittent Phototherapy in Pathological Unconjugated Hyperbilirubinemic Neonates of More Than or equal to 35 Weeks of Gestation – a Randomized Control Trial - NI

Maulana Azad Medical College0 个研究点目标入组 0 人开始时间: 待定最近更新: 2023年10月16日

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•1.Gestational age more than or equal to 35 weeks, if not ascertainable admission weight >2.4 kg.
•2.Clinical jaundice appearing after 24 h of life.
•3.Babies with total serum bilirubin (TSB) in the phototherapy range as per
•clinical Practice Guidelines AAP 2022
•4. TSB <2mg/dl below the threshold for exchange transfusion.
•5.Rate of rise of TSB after 6 hours of initial phototherapy less than or equal to
•0.2mg/dl/h

•1.Major congenital malformations
•2.Babies having neurotoxicity risk factors before enrollment(CPG AAP 2022)
•a) Serum albumin <3gm/dL
•b)Isoimmune hemolytic disease
•c)Sepsis(sepsis requiring treatment with antibiotic)
•d)Clinical instability in previous 24 hours(cardiopulmonary instability,hypotension requiring pressure support, blood PH <7.15,any respiratory support,sepsis)
•3.Direct bilirubin more than 15% or more than 1.5mg/dL of TSB.
•4.Baby received PT for more than 5 h before admission.

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